MR. KEVIN WILLIS PUGH (NPI# 1477596302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477596302 |
| Entity Type | Individual |
| Full Name | MR. KEVIN WILLIS PUGH |
| Credential | M.D. |
| Practice Address |
911 Bypass Rd 6th Floor Clinic Pikeville KY 41501-1689 |
| Mailing Address |
Po Box 2917 Pikeville KY 41502-2917 |
| Practice Telephone | 6062181000 |
| Practice Fax Number | 6062187506 |
| Mailing Telephone | 6062181000 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 39861 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64117856 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845097 | Kevin Pugh | Optometrist | 1121 S Gilbert Rd, Suite 103, Mesa, AZ 85204-5235 | 2015-07-01 |
| 1043204704 | Kevin J. Pugh | Orthopaedic Surgery | 1005 E Cheves St, Florence, SC 29506-2707 | 2005-09-08 |
| Street Address |
911 BYPASS RD 6TH FLOOR CLINIC |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345045 | Trevor Jones | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2005-06-09 |
| 1134736564 | Matthew Gene Damron | Pharmacist | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2020-09-29 |
| 1164051090 | Keterah F Norman | Respiratory Therapist, Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2020-04-03 |
| 1144887951 | William Albert Ison | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-05-28 |
| 1598226045 | Joshua Adam Mullins | Family Medicine | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-03-27 |
| 1801360623 | Ryan Anthony Preston | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-01-15 |
| 1710486162 | Shylebra Lea Holbrook | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2018-02-12 |
| 1124530878 | Cynthia Acosta Pence | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-11-02 |
| 1598276552 | John Andrew Schultz | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-10-18 |
| 1053820555 | Samantha Boyd | Physician Assistant | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124294962 | Apostolos Dimitroulias | Orthopaedic Surgery | 911 Bypass Rd, 6th Floor Clinic, Pikeville, KY 41501-1689 | 2008-05-01 |
| 1295957215 | Anbu K. Nadar M.d., Psc | Orthopaedic Surgery | 419 Town Mountain Rd, Suite 107, Pikeville, KY 41501-1631 | 2007-05-02 |
| 1932163177 | Keith Brian Hall | Orthopaedic Surgery | 911 Bypass Rd, 6th Floor Clinic Building, Pikeville, KY 41501-1689 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322170 | Louisville Spine Institute LLC | Orthopaedic Surgery | 6500 Glenridge Park Pl Ste 9, Louisville, KY 40222-3450 | 2019-12-05 |
| 1114584612 | Injury Rehab Center LLC | Orthopaedic Surgery | 611 W Poplar St Ste C12, Elizabethtown, KY 42701-2477 | 2019-05-21 |
| 1679077531 | Travis Parkulo | Orthopaedic Surgery | 550 South Jackson Street 1st Floor Acb, Louisville, KY 40292-1219 | 2018-03-23 |
| 1588168611 | Boshen Liu | Orthopaedic Surgery | 740 S Limestone Room K403, Lexington, KY 40536-0293 | 2018-03-22 |
| 1013417419 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 509 Hampton Way, Richmond, KY 40475-8680 | 2018-02-13 |
| 1598265993 | Cumberland Foot & Ankle Centers | Orthopaedic Surgery | 141 Prosperous Pl Ste 22a, Lexington, KY 40509-1854 | 2018-02-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1881107886 | Bellefonte Physician Services, Inc. | Orthopaedic Surgery | 1100 St. Christopher Dr., Ashland, KY 41101-7055 | 2017-11-13 |
| 1073034385 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 115 Tradepark Dr Ste B, Somerset, KY 42503-3428 | 2017-06-28 |
| 1437679990 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1830 Destiny Ln Ste 110, Bowling Green, KY 42104-1088 | 2017-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.